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The relationship between the level of program integrity and pre- and post-test changes of Responsive-Aggression Regulation
Therapy (Re-ART) Outpatient: a pilot study

Journal

International Journal of Offender Therapy and Comparative Criminology

Volume | Issue number

60 | 4

Pages (from-to)

435-455

Document type

Article

Faculty

Faculty of Social and Behavioural Sciences (FMG)

Institute

Research Institute of Child Development and Education (RICDE)

Abstract

Responsive-Aggression Regulation Therapy (Re-ART) Outpatient is a cognitive behavioral-based intervention for adolescents
and young adults (16-24 years) with severe aggressive behavioral problems. This pilot study (N = 26) examined the level of
program integrity (PI; that is, the delivery of the intervention as it is originally intended) of Re-ART. We also investigated
the pre- and post-test changes in several outcome variables, and the relation between the level of PI and these changes. Participants
were recruited from three different outpatient forensic settings. Results showed that the PI of half of the treatments was
not sufficient (e.g., the intensity of the program was too low and some standard modules were not offered). In addition, this
pilot study demonstrated that sufficient PI was related to positive changes in aggression, cognitive distortions, social support,
coping (reported by therapist), and distrust (responsiveness to treatment).

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